Individual
LAURA LINNETTE AVILES-MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1613 HARRISON PKWY, STE 200, SUNRISE, FL 33323-2896
(954) 838-2371
Mailing address
10241 LAKE VISTA CT, PARKLAND, FL 33076-4133
(954) 683-1661
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
26695
PR
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
ME110711
FL
Other
Enumeration date
09/10/2007
Last updated
06/09/2016
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